Coming from lived experience, our founder wanted to find a new way of working with people who use drugs, as there seemed to be a disconnect between the standard addiction treatment services and public health in South Carolina. At that time, the health and well-being of people who inject drugs was not a focus in our states' addiction treatment landscape. In fact, our state's drug and alcohol department was even quoted in the news saying "advocating for needle exchanges is not an agency priority".
We found this to be odd, considering people who inject drugs make up the largest group of new Hepatitis C cases and are associated with HIV and other bacterial and infectious diseases as well. He asked why our addiction treatment and prevention industry was not including drug user health in its work. Why was this overlap being ignored?
In an attempt to offer a solution, Marc started acquiring supplies like condoms, syringes, and other items used to reduce the spread of disease, and began giving them out in his community. Instantly, he saw the effect this had on the people he was serving, since being met as someone who injects drugs with no judgement, discrimination, or coercion is not the typical interaction. Every interaction felt magical and life changing for both sides. Thus, the first syringe services program in South Carolina was born.
Since then, the goal of Challenges Inc has remained the same: stop the spread of preventable and unnecessary infectious diseases and other healthcare issues by providing evidence-based harm reduction tools to people who use drugs in South Carolina.
Today, our services include much more than our humble beginnings. We provide testing for HIV and Hepatitis C with linkage to free treatment for both. We offer referrals to substance use disorder treatment and help individuals navigate the treatment system, and more recently have added a low barrier MOUD option through a wonderful partnership with like minded professionals. We provide low barrier access to naloxone and give out hundreds of doses of the life saving drug every month, and we do it all from a beautiful little bus. Check it out on the Locations page. Maybe most importantly though, we are a creator of change for how our community views people who use drugs and other marginalized communities, and we hope to continue improving the lives of the people we serve and health outcomes for our community at large.
At Challenges Inc. SC, our mission is to reduce the damage caused by the War on Drugs so that people who use drugs can live safe, healthy lives in our community.
Our vision is a society in which individuals are not criminalized based on the substances they choose to consume.
A short history of Challenges Inc SC; past and present, with the addition of our beautiful new office for direct services.

Marc Burrows, MSW, LMSW, CPSS, ADC, is a harm reductionist and drug user health advocate, using his own lived experience with substance use, the treatment industry, and the criminal justice system to inform his approach in practice. Marc's entrance into the SUD field was advocating for MAT/MOUD; to reduce stigma and expand access to these medications. In 2016 Marc founded Challenges Inc SC as the first syringe service program in SC, out of the desire to prevent the spread of infectious diseases among people who inject drugs.

Lysandra Ryan, CPSS, is a Harm Reduction worker who was born in South Carolina, but began her work in the field in Canada during the pandemic. There, she joined a street outreach team composed of people with lived and living experience, responding compassionately to overdoses, distributing clean supplies, supervising consumption, providing referrals, and serving as an alternative to police. In 2024, Lysandra returned to upstate South Carolina and began work as a Harm Reduction Specialist with Challenges Inc SC. Inspired by her own experiences, she is committed to reducing stigma among marginalized communities, ensuring people stay safe and alive and feel seen and heard.

Raymond Velazquez-Turner is a public health leader and harm reduction advocate committed to advancing health equity through community-centered, low-barrier approaches. He serves as Program Administrator with Challenges Inc SC, supporting the growth of accessible, participant-driven harm reduction services. He grounds his work in his lived experience as a former sex worker, a person living with HIV, someone who has experienced homelessness, and a person who uses drugs. He advocates for intersectional approaches that recognize the connection between race, sexuality, gender identity, housing, substance use, and health outcomes.
Outside of work, he enjoys spending time with his husband, their two French bulldogs, and visiting National Parks.

Tina Kasson is a Harm Reduction worker who is passionate about changing the conversation around drug use. As a Harm Reduction Specialist at Challenges Inc SC, she draws on her educational background in social work and lived experience to replace judgment with genuine human connection. Tina’s work is rooted in the belief that safety and bodily autonomy are basic human rights. Having experienced stigma from the very systems meant to offer support, she knows firsthand that the war on drugs is often fought through isolation and shame. Tina is dedicated to breaking down these barriers by embracing radical acceptance in the face of punitive measures. She is all about creating a safe environment where people can reclaim their inherent value and make informed decisions about their health.

Kris Stepp serves as the Program Manager for Challenges Inc. SC. A dedicated advocate who began as a volunteer in 2020, Kris’s work is fueled by the personal mission of preventing accidental Fentanyl overdoses—a cause close to his heart after losing his own daughter.
With multi-state experience operating Syringe Service Programs (SSP), Kris’s heart remained in South Carolina, and he eventually returned home to lead local harm reduction efforts. Now in what he considers his "dream job," Kris combines his lived experience with professional expertise to manage community outreach and advocate for evidence-based care. He views his career not just as a profession, but as a vital service to ensure no other family has to endure an unnecessary loss.


Our new merch store is open! From shirts to mugs, we've got it, with more items on the way.